Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09399 | Date 04/06/2025 |
| Token No | SM/25-26/3065 05/06/2025 | Serial | 023 |
| Patient Name | Mrs. TITHI KAR | Contact No | 6290752569 |
| Address | 56/G MALLICKPARA LANE SERAMPORE 712203 | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||